| Aba Pathway To Potential Llc | |
|
11815 Fountain Way Ste 300 Newport News VA 23606-4448 | |
| (646) 250-9953 | |
| Not Available |
| Full Name | Aba Pathway To Potential Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11815 Fountain Way Ste 300, Newport News, Virginia |
| Authorized Official Name and Position | Yacov Gigi (REGIONAL DIRECTOR) |
| Authorized Official Contact | 6462509953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Pathway To Potential Llc 11815 Fountain Way Ste 300 Newport News VA 23606-4448 Ph: (646) 250-9953 | Aba Pathway To Potential Llc 11815 Fountain Way Ste 300 Newport News VA 23606-4448 Ph: (646) 250-9953 |
| NPI Number | 1174351274 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174351274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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